ArticleMedical journal, Armed Forces India
A pilot study to evaluate the efficacy of robotic biofeedback based upper limb rehabilitation in children with hemiplegic cerebral palsy.
Article in Medical journal, Armed Forces India. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
Background: Robotic biofeedback-based Cerebral Palsy (CP) rehabilitation is a novel rehabilitative modality. This single (assessor) blind randomized controlled multicentric pilot trial compared the efficacy of robotic biofeedback-based therapy as an add-on therapy along with conventional physiotherapy versus conventional physiotherapy alone in children with hemiplegic CP between 5-18 years. Methods: The trial was conducted in two centres for 2.5 years. Hepiplegic CP children with Gross Motor Function Classification System (GMFCS) scores: I-III children were enrolled. Enrolled children's baseline paretic limb Hand-Grip Strengths and Quality of Upper Extremity Skills Test (QUEST) scores were recorded. Children in Intervention Arm received robotic biofeedback-based therapy and conventional physiotherapy. In Control Arm, only conventional physiotherapy was administered. Differential changes in mean hand-grip strengths after 12 months were compared between the two groups (primary outcome). Secondary outcomes included changes in grip strength at 15 months and QUEST scores at 12 and 15 months. Results: 60 children were enrolled (30 in each Arm). There were 5 dropouts (2 from Intervention Arm). The difference of mean hand-grip strengths between the two groups at 12 months was (-) 0.05, which was insignificant (p = 0.40). The difference in secondary outcomes between the two groups was not significant either. No adverse effects were noted. Conclusion: Add-on robotic biofeedback-based upper limb rehabilitation does not improve hand-grip strength (at 12 and 15 months) and QUEST scores (at 12 and 15 months) of hemiplegic CP children undergoing conventional physiotherapy. The study demonstrated the feasibility, acceptability and lack of adverse effects of this hybrid modality.
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